ALERT! Hospice care: See "Coverage of hospice care" for special prescription drug coverage while in hospice.

The table below explains your costs for prescription drugs covered by UMP Classic.

Prescription Drug Deductible: $100 Individual, $300 Family
Tier All Network Pharmacies
(Retail and Mail-Order)
The Most You'll Pay
Per 30-Day Supply*

(Prescription Cost-Limit)
Network Pharmacies Only
Value Tier 5% coinsurance
No deductible
Tier 1
Select Generic Drugs
10% coinsurance
No deductible
Tier 2
Preferred Drugs
30% coinsurance
Deductible applies
Tier 3**
Nonpreferred Drugs
50% coinsurance
Deductible applies
Specialty drugs only: $150
No cost-limit for non-specialty drugs

*See how the prescription drug cost-limit works.
**How to request an exception to the Tier 3 cost-share.


If you have questions about your prescription drug coverage, call 1-888-361-1611.